| Mary Elizabeth Anderson, MD | |
|
3200 3rd St S Ste 200, Jacksonville Beach, FL 32250-6097 | |
| (813) 321-1786 | |
| (813) 321-1787 |
| Full Name | Mary Elizabeth Anderson |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 3200 3rd St S Ste 200, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265960264 | NPI | - | NPPES |
| 124534000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME155627 (Florida) | Primary |
| Entity Name | Oliver Street 5.01(a) Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Elizabeth Anderson, MD 18228 N Us Highway 41, Lutz, FL 33549-4400 Ph: (813) 321-1786 | Mary Elizabeth Anderson, MD 3200 3rd St S Ste 200, Jacksonville Beach, FL 32250-6097 Ph: (813) 321-1786 |
Stephanie Ortman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 3rd St S Ste 200, Jacksonville Beach, FL 32250 Phone: 904-249-6110 Fax: 904-249-6119 | |
Danielle K Reimer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 3rd St S Ste 200, Jacksonville Beach, FL 32250 Phone: 904-249-6110 Fax: 904-249-6119 | |
Misty Mei Hobbs, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 3rd St S Ste 200, Jacksonville Beach, FL 32250 Phone: 813-321-1786 Fax: 813-321-1787 | |
Mrs. Christine Siew-pun Ng, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1361 13th Ave S Ste 180, Jacksonville Beach, FL 32250 Phone: 904-247-4300 Fax: 904-247-4350 | |
Dr. Alison O. Moon, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 3rd St S, Suite 200, Jacksonville Beach, FL 32250 Phone: 904-249-6110 Fax: 904-249-6119 | |
Ines Kevric O'shaughnessy, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 3rd St S Ste 200, Jacksonville Beach, FL 32250 Phone: 904-249-6110 Fax: 904-249-6119 |